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General NPI Number Information
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NPI Number | 1497292312
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Entity Type | Individual
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Provider Name | BRIAN CHINEDU ANYANWU DDS
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Gender | Male
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 2411 MIAMISBURG CENTERVILLE RD
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City | DAYTON
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State | OH
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Zip | 45459-3723
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Country | US
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Telephone | 937-436-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 13503 VERBENA LN
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City | HOUSTON
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State | TX
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Zip | 77083-1805
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Country | US
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Telephone | 832-264-6170
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 32653
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027251
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License Number State | OH
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